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Newly diagnosed with prostate cancer and still gathering information
Prostate Cancer | Last Active: Sep 4 9:01am | Replies (150)Comment receiving replies
That one core that was 4+5 is your Gleason score?. The other cores are irrelevant when it comes to what the doctors rely on.
Gleason nine is very aggressive and you should get to the best place you can go to get treatment.
Not only should you get a PSMA pet scan you should try to get a decipher score which you tell how likely it is that you will have a recurrence. With Gleeson nine recurrence chances are very high.
If you want the best progression free survival be proactive and get the best treatment you can find.
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I also was 4+3 after biopsy in August 2024 but 4+5 after surgery in November. I have some adverse findings - cribriform, bladder neck invasion and so on. I've had two post-op PSA tests - one undetectable and the other 0.02. The urologist agrees recurrence is likely and radiation is next for me. His slow pace concerns me, but Mayo also said it's too early to begin radiation. Next blood test is a month from now. I hate the wait but it appears I have to wait for the next PSA results.